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Individual

CYNTHIA PLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
190 OVERTHRUST RD, EVANSTON, WY 82930
(307) 789-4224
(307) 789-4225
Mailing address
PO BOX 2910, EVANSTON, WY 82931-2910
(307) 789-4224
(307) 789-4225

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1299
WY
101YP2500X
Professional Counselor
PPC-584
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891099545
WY
Enumeration date
06/13/2011
Last updated
11/24/2015
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